| NPI | 1790417699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURUDEEN MATTI CEO 443-794-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-10-05 |